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General NPI Number Information
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NPI Number | 1376181768
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Entity Type | Organization
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Legal Business Name | NIRLOK CORPORATION
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Dates
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Enumeration Date | 12/16/2019
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Last Update Date | 12/16/2019
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Provider Practice Location Address
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Address Line | 750 WEST 7TH STREET
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City | LOS ANGELES
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State | CA
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Zip | 90017
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Country | US
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Telephone | 213-896-0152
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Fax |
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Provider Business Mailing Address
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Address Line | 4776 ADDINGTON COURT
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City | MOORPARK
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State | CA
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Zip | 93021
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Country | US
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Telephone | 714-305-1713
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. AALOK P PANDYA
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Credential | OD
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Telephone | 714-305-0713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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